Organization
PEDIATRIC THERAPY LINK OF NORTH ALABAMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY THERESE MAYHAN MS, OTRL (OWNER/OCCUPATIONAL THERAPIST)
(256) 883-7338
Entity
Organization
Contact information
Practice address
8331 MADISON BLVD, STE 300, MADISON, AL 35758-2073
(256) 883-7338
(256) 883-7135
Mailing address
8331 MADISON BLVD, STE 300, MADISON, AL 35758-2073
(256) 883-7338
(256) 883-7135
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
2306
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125125
—
AL
01
—
51523367
BCBSAL
AL
Enumeration date
10/15/2007
Last updated
03/12/2025
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